NAPKON Pediatrics Module
1.0.0 - trial-use
NAPKON Pediatrics Module
1.0.0 - trial-use
NAPKON Pediatrics Module - Local Development build (v1.0.0). See the Directory of published versions
| Defining URL: | https://www.napkon.de/fhir/StructureDefinition/thoracic-drainage |
| Version: | 1.0.0 |
| Name: | ThoracicDrainage |
| Title: | Thoracic Drainge |
| Status: | Active as of 2021-09-13 |
| Definition: | Application of a thoracic drainage |
| Publisher: | Charité - Universitätsmedizin Berlin |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
https://www.napkon.de/fhir/StructureDefinition/thoracic-drainage
| Parameter Case Report Form | FHIR Resource Attribute |
|---|---|
| Application of a thoracic drainage | Procedure.code |
| Parameter Case Report Form | Response Options |
|---|---|
| Application of a thoracic drainage | Yes / No / Unknown |
| Response Option | Code |
|---|---|
| Yes, currently | #in-progress |
| Yes | #completed |
| No | #not-done |
| Unknown | #unknown |
This profile of a FHIR Procedure is derived from the Procedure profile of the Medical Informatics Initiative (MII).
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | I | 0..* | Profile_MII_ProcedureProzedur | An action that is being or was performed on a patient |
  id | SΣ | 0..1 | string | Logical id of this artifact |
  meta | SΣ | 0..1 | Meta | Metadata about the resource |
 id | 0..1 | string | Unique id for inter-element referencing | |
 Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| versionId | Σ | 0..1 | id | Version specific identifier |
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed |
| source | SΣ | 0..1 | uri | Identifies where the resource comes from |
| profile | SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
 tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
 ProzedurDokumentationsdatum | S | 0..1 | dateTime | Dokumentationsdatum der Prozedur URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum |
| Durchfuehrungsabsicht | S | 0..1 | Coding | Optional Extensions Element URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Binding: ValueSet_MII_Durchfuehrungsabsicht (required) |
 Slices for modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| identifier | Σ | 0..* | Identifier | External Identifiers for this procedure |
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition |
 basedOn | ΣI | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure |
| partOf | ΣI | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: RestrictedEventStatus (required) |
| statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
| category | SΣ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
 Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
 coding:sct | SΣ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet_MII_SnomedProcedure-Category (preferred) Required Pattern: At least the following |
  id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277132007 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Therapeutic procedure (procedure) | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | SΣ | 1..1 | uri | Identity of the terminology system |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
 userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| code | SΣI | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| Slices for coding | SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
 coding:ops | SΣ | 0..1 | ?pkp-2? | A reference to a code defined by a terminology system Binding: OpsVS (required) |
 id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| seitenlokalisation | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | |
| seitenlokalisation | S | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
| system | SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
| version | SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
| code | SΣI | 1..1 | code | Der OPS-Code Example Einfacher OPS-Code: 5-470 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:sct | SΣ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet_MII_SnomedProcedureCodes (required) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 264957007 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Insertion of pleural tube drain (procedure) | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| subject | ΣI | 1..1 | Reference(Patient | Group) | A reference from one resource to another |
| encounter | ΣI | 0..1 | Reference(Encounter) | Encounter created as part of |
 performed[x] | SΣ | 1..1 | When the procedure was performed | |
| performedDateTime | dateTime | |||
| performedPeriod | Period | |||
| recorder | ΣI | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure |
| asserter | ΣI | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure |
| performer | Σ | 0..* | BackboneElement | The people who performed the procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. |
| actor | ΣI | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner |
| onBehalfOf | I | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for |
| location | ΣI | 0..1 | Reference(Location) | Where the procedure happened |
| reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
| reasonReference | ΣI | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality. |
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. |
| report | I | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure |
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |
| complicationDetail | I | 0..* | Reference(Condition) | A condition that is a result of the procedure |
| followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |
| note | S | 0..* | Annotation | Additional information about the procedure |
| focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |
| manipulated | I | 1..1 | Reference(Device) | Device that was changed |
| usedReference | I | 0..* | Reference(Device | Medication | Substance) | Items used during procedure |
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | I | 0..* | Profile_MII_ProcedureProzedur | An action that is being or was performed on a patient |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| source | Σ | 0..1 | uri | Identifies where the resource comes from |
| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| ProzedurDokumentationsdatum | 0..1 | dateTime | Dokumentationsdatum der Prozedur URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum | |
| Durchfuehrungsabsicht | 0..1 | Coding | Optional Extensions Element URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Binding: ValueSet_MII_Durchfuehrungsabsicht (required) | |
| status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: RestrictedEventStatus (required) |
| category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
 coding:sct | Σ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet_MII_SnomedProcedure-Category (preferred) Required Pattern: At least the following |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277132007 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Therapeutic procedure (procedure) | |
| system | Σ | 1..1 | uri | Identity of the terminology system |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| code | ΣI | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . |
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
| coding:ops | Σ | 0..1 | ?pkp-2? | A reference to a code defined by a terminology system Binding: OpsVS (required) |
| seitenlokalisation | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | |
| system | Σ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
| version | Σ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
| code | ΣI | 1..1 | code | Der OPS-Code |
| coding:sct | Σ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet_MII_SnomedProcedureCodes (required) Required Pattern: At least the following |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 264957007 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Insertion of pleural tube drain (procedure) | |
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| performed[x] | Σ | 1..1 | When the procedure was performed | |
| performedDateTime | dateTime | |||
| performedPeriod | Period | |||
| bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality. |
| note | 0..* | Annotation | Additional information about the procedure | |
| Documentation for this format | ||||
This structure is derived from Profile_MII_ProcedureProzedur
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | Profile_MII_ProcedureProzedur | An action that is being or was performed on a patient | |
 status | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: RestrictedEventStatus (required) | |
| category | 1..1 | CodeableConcept | Classification of the procedure | |
| coding | 1..* | Coding | Code defined by a terminology system | |
| coding:sct | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277132007 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Therapeutic procedure (procedure) | |
| code | ||||
| coding:sct | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 264957007 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Insertion of pleural tube drain (procedure) | |
| Documentation for this format | ||||
This structure is derived from Profile_MII_ProcedureProzedur
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code |
| Procedure.meta.security | extensible | All Security Labels |
| Procedure.meta.tag | example | CommonTags |
| Procedure.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Procedure.status | required | RestrictedEventStatus |
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) |
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) |
| Procedure.category.coding:sct | preferred | Pattern: SNOMED CT code 277132007("Therapeutic procedure (procedure)") |
| Procedure.code | example | ProcedureCodes(SNOMEDCT) |
| Procedure.code.coding:ops | required | OpsVS (missing link) |
| Procedure.code.coding:sct | required | Pattern: SNOMED CT code 264957007("Insertion of pleural tube drain (procedure)") |
| Procedure.performer.function | example | ProcedurePerformerRoleCodes |
| Procedure.reasonCode | example | ProcedureReasonCodes |
| Procedure.bodySite | extensible | SNOMEDCTBodyStructures |
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) |
| Procedure.complication | example | Condition/Problem/DiagnosisCodes |
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) |
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes |
| Procedure.usedCode | example | FHIRDeviceTypes |
IG © 2021+ Charité - Universitätsmedizin Berlin. Package napkon-pediatrics#1.0.0 based on FHIR 4.0.1. Generated 2021-12-17
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